— 降低風險 · EASY · MCQ —
護理師照護一位全髖關節置換術後的病人。護理師應採取哪項措施以預防髖關節脫位？
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which action should the nurse take to prevent a hip dislocation?
- APerform hip flexion to 110 degrees during physical therapy在物理治療期間將髖關節屈曲至 110 度
- BEncourage the client to cross legs while sitting鼓勵個案坐著時交叉雙腿
- CPlace an abduction pillow between the legs when the client is supine✓ 正解當個案仰臥時，在雙腿之間放置外展枕
- DInstruct the client to lean forward when sitting in a chair指導個案坐在椅子上時身體前傾
— Explanation · 中文詳解 —
全髖關節置換術（THA）後，關節囊尚未完全癒合，極易發生脫位。預防重點在於避免術側髖關節過度彎曲（屈曲 > 90 度）、內收（Adduction）以及內旋（Internal rotation）。使用外展枕（Abduction pillow）能將雙腿維持在適度外展位置，防止術側髖關節內收，是預防脫位的關鍵護理措施。
After total hip arthroplasty, the joint capsule is vulnerable, making dislocation a significant risk if the hip is flexed beyond 90 degrees, adducted, or internally rotated. Placing an abduction pillow between the legs maintains proper alignment and prevents adduction, thereby protecting the surgical site.